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Expanding a Behavioral View on Digital Health Access: Drivers and Strategies to Promote Equity.

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Digital health tools can advance health equity if access is equitable. Integrating behavioral science strategies throughout digital health tool development is key to improving access and equity for better health outcomes.

Keywords:
behavioral medicinedigital dividedigital healthhealth care accesshealth equityimplementationmHealthmobile healthmobile phone

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Area of Science:

  • Digital Health
  • Health Equity
  • Behavioral Science

Background:

  • Digital tools offer potential for health equity, but equitable access remains a significant challenge.
  • The COVID-19 pandemic exacerbated concerns regarding equitable access to digital health technologies.
  • Existing frameworks highlight multilevel factors driving digital health inequities.

Purpose of the Study:

  • To address concerns regarding equity in digital health access.
  • To propose behavioral science-based strategies to improve equitable access to digital health tools.
  • To present a model for advancing digital health access and fostering health equity.

Main Methods:

  • Utilized behavioral, equity, and access frameworks for comprehensive analysis.
  • Explored multilevel factors contributing to unequal access in digital health.
  • Focused on behavioral medicine principles due to their role in technology adoption.

Main Results:

  • Digital health tools can improve health equity when equitable access is achieved.
  • Behavioral science strategies integrated across the development lifecycle can enhance access and equity.
  • Multilevel strategies involving developers, providers, organizations, and systems are necessary for change.

Conclusions:

  • Equitable access is crucial for digital health tools to realize their potential in improving health equity.
  • Behavioral science offers actionable strategies to overcome barriers to digital health access.
  • A multilevel model encompassing design, delivery, dissemination, and sustainment is proposed to advance digital health equity.